# LIBERTY HEALTHCARE GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Liberty Commons Nursing & Rehabilitation Center of Watauga County, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629535455
- **Authorized official:** JOSEPH V CALCUTT (CFO)
- **Authorized official phone:** (910) 815-3122

## Contact information

- **Practice address:** 621 CHESTNUT RIDGE PKWY, BLOWING ROCK, NC 28605-8962
- **Practice address phone:** (828) 386-3300
- **Mailing address:** 621 CHESTNUT RIDGE PKWY, BLOWING ROCK, NC 28605-8962
- **Mailing address phone:** (828) 386-3300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | — |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/28/2019
- **Last updated:** 08/10/2021